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Permit
CITY OF TIGARD MASTER PERMIT II i - ° PERMIT #: MST2008 - 00068 ° ` COMMUNITY DEVELOPMENT DATE ISSUED: 7/21/2008 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1 S125DA -10500 SITE ADDRESS: 09445 SW 70TH AVE ZONING: R -4.5 SUBDIVISION: PP1994 -061 LOT: 002 JURISDICTION: TIG PROJECT: TOMASI Project Description: 379 sq. ft. addition. BUILDING REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ADD HEIGHT: FIRST: 218 sf BASEMENT: sf LEFT: SMOKE DETECTORS: y TYPE OF USE: SF FLOOR LOAD: 50 SECOND: 161 sf GARAGE: sf FRONT: PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD: sf RIGHT: VALUE: OCCUPANCY GRP: R3 BDRM: BATH: 1 TOTAL: 379 sf 40,793.35 REAR: PLUMBING SINKS: WATER CLOSETS: 1 WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: 2 DISHWASHERS: FLOOR DRAINS: SEWER UNES: SF RAIN DRAINS: CATCH BASINS: TUB/SHOWERS: 1 GARBAGE DISP: WATER HEATERS: WATER UNES: BCKFLW PREVNTR: GREASE TRAPS: • OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIUCMP < 3HP: VENT FANS: 1 CLOTHES DRYER: FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS: MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC/FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADM INSPECTIONS 1000 SF OR LESS: 0 - 200 amp: 0 - 200 amp: W /SVC OR FDR: PUMP/IRRIGATION: PER INSPECTION: EA ADDL 5005F: 201 - 400 amp: 201 - 400 amp: 1st W/O SVC/FDR: 1 SIGN/OUT UN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: 3 SIGNAUPANEL: IN PLANT: MANU HM /SVC/FDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL: 1000.. amp /volt : PLAN REVIEW SECTION Reconnect only: >=4 RES UNITS: SVC/FDR>s225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL - RESTRICTED ENERGY A. SF RESIDENTIAL 8. COMMERCIAL AUDIO & STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPERRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA TELE COMM: NURSE CALLS: TOTAL 0 SYSTEMS: This permit is subject to the regulations contained in the Tigard Owner: Contractor: Municipal Code, State of OR. Specialty Codes and all other applicable ALICIA TOMASI ZINK & ASSOCIATES INC laws. All work will be done in accordance with approved plans. This BARKER, JOEL PO BOX 25452 permit will expire if work is not started within 180 days of issuance, or 9445 SW 70TH AVE PORTLAND, OR 97225 if the work is suspended for more than 180 days. ATTENTION: TIGARD, OR 97223 Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 -001 -0010 through 952 -001 -0080. You may obtain copies of these rules or direct Phone: 503 452 - 1966 Contact #: PRI 503 292 - 7993 questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Reg #: LIC 91365 TOTAL FEES: $ 1,502.16 REQUIRED ITEMS AND REPORTS . Is ed By : , 1 j_I i, . / _i Permittee Signature : Call 503.639.4175 by 7:00 a.m. for an inspection that busin-ss day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. 1 ca Bu>Il n ermit Ap >tcation `� � ' Residential -,. FOR OFFICE USE ONLY '. City of Tigard ,�� „.......4 DPlan at i ®V 0 �� - ' --- t' s° . : p Permit No.: S����t/1e: • 13125 SW Hall Blvd., Tigard, OR 97223 ''i �10% Revie � • t Other Permit: Phone: 503.639.4171 Fax: 503.598.1960 �� / Date/B : • • • r T 1 G A R n I Line: 503.639 1 `` �G �� to Ready/By: raris. ®See Page 2 for Internet: www.tigard- or.gov - , ` s i ` it s\ I' ified/Method: Supplemental Information TYPE OF WOI 1` .'- , � `' REQUIRED DATA: 1- AND 2-FAMILY DWELLING ❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all RrAddition/alteration/replacement ❑ Other: equipment, materials, labor, overhe d, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. n 70/.3 , 3b [l- and 2- family dwelling ❑ Commercial/industrial Valuation: $ ❑ Accessory building ❑ Multi - family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: 7 1. Job site address: (Lf qS Su) - 7044 1 S-tree New dwelling area: 3, u re eet � c. City /State /ZIP: i i q JglZ IJ OR. 9 72 2. 3 Garage /carport area: square feet Suite/bldg. /apt. no.: J Project name: �mA.si - C3 fikKe 2 Covered porch area: square feet Cross street/directions to job site: / q t j / Q F t/ Deck area: square feet / J Other structure area: square feet REQUIRED DATA: COMMERCIAL-USE CHECKLIST Subdivision: I Lot no.: Permit fees' are based on the value of the work performed. Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK work indicated on this application. tenSiO r) OF 6 recta R OD m ` Fir5+ ` 1F-)00 R 4 Valuation: $ GK � M as- g aCOOm A-0 C.dd. M a.s -lec Existing building area: square feet q •h 1-. 0 "a C I D ,-. New building area: square feet Q' PROPERTY OWNER I ❑ TENANT Number of stories: Name: A /ICJ & - 1 - 0 - m AS i e' .7 r7 El,... 0ARKe k Type of construction: Address: 9yyg SGT) - 7044 1 scree f Occupancy groups: City /State/ZIP: "77:9 r d 0G` o j 9 7 22 3 Existing: Phone: (5a3) L /5.1 I q(cb Fax: (Cj3 )c S/6 — 066( New: NI APPLICANT ❑ CONTACT PERSON NOTICE Business name: - �- (� v All contractors and subcontractors are required to be name: Al L , i c, TD n1 cis-, 1 0�L CJ h p_ hE� licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: q itt{c S(._) 10 s•4{ee- jurisdiction in which work is being performed. If the City /State /ZIP: '� G A R D O R , G7 Z 23 applicant is exempt from licensing, the following reasons / Fax: apply: Phone: (5Q3 ) j,� �5-c7 —i q bb I : ( ) t246 �6 • E-mail: Alicia 6 F\ L Torn f . a nil • . . CONTRACTOR 4/ 1 Business name: S / 0 a C( BUILDING PERMIT FEES* Address: V 5 " ) (Please refer to fee schedule) City /State/ZIP: e �-{ -� U � Structural plan review fee (or deposit): 7 f I f �J�V / w (� ) 7 ( t ' FLS plan review fee (if applicable): Phone: c' Fax: ( ) CCB lic.: q�`Z /_ `� S /�1 /� 0 Amount received: Total fees due upon application: 6 ✓✓ lV ( d 1 K (( i% '� , 1 Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Al i4 • mAS,, Date: 6 8i * Fee methodology set by Tri -County Building Industry Service Board. I: \Building\Permits\BUP -RES PermitApp.doc 11/6/07 440- 4613T(I1 /02 /COM/WEB) Building Permit Application Checklist One- and Two-Family Dwelling FOR OFFICE USE ONLY City of Tigard Received 7 Date/By: No.: 1 3125 SW Hall Blvd., Tigard, OR 97223 Associated permits: C Phone: 503.639.4171 Fax: 503.598.1960 24- Hour Inspection Line: 503.639.4175 0 Electrical 0 Plumbing 0 Mechanical 11( AIL 1) Internet: www.tigard- or.gov 0 Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No N/A 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ ❑ 2 Zoning. Flood plain, solar balance points, seismic soils designation, historic district, etc. ❑ ❑ ❑ 3 Verification of approved plat/lot. ❑ ❑ ❑ 4 Fire district approval required. Name of district: . ❑ ❑ ❑ 5 Septic system permit or authorization for remodel. Existing system capacity . ❑ ❑ ❑ 6 Sewer permit. ❑ ❑ ❑ 7 Water district approval. ❑ ❑ ❑ 8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ ❑ 1 9 Erosion control ❑ plan ❑ permit required. Include drainage -way protection, silt fence design and location of catch- ❑ ❑ ❑ basin protection, etc. f110 3 Complete sets of legible plans. Must be drawn to scale, showing conformance to applicable local and state ❑ ❑ ❑ building codes. Lateral design details and connections must be incorporated into the plans or on a separate full -size sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if copyright violations exist. 11 Site /plot plan drawn to scale. The plan must show lot and building setback dimensions; if ❑ ❑ ❑ 7 ...• • • . - - - ; • ; - ; . ' • .. _ _ : • - - • . , location of easements and driveway; footprint of structure (including decks); I s;mtifity- locations; direction indicator; lot area; a; ; iu pervieus -area; existing structures on site; ai • . sugfuembsulli 12 Foundation plan. Show dimensions, anchor bolts, any hold -downs and reinforcing pads, connection details, vent size ❑ ❑ ❑ and location. 13 Floor plans. Show all dimensions, room identification, window size, location of smoke detectors, water heater, ❑ ❑ ❑ furnace, ventilation fans, plumbing fixtures, balconies and decks 30 inches above grade, etc. .s.-• Cross section(s) and details. Show all framing- member sizes and spacing such as floor beams, headers, joists, sub- ❑ . ❑ ❑ floor, wall construction, roof construction. More than one cross section may be required to clearly portray construction. Show details of all wall and roof sheathing, roofing, roof slope, ceiling height, siding material, footings and foundation, stairs, fireplace construction, thermal insulation, etc. 15 Elevation views. Provide elevations for new construction; minimum of two elevations for additions and remodels. ❑ ❑ ❑ Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full -size sheet addendums showing foundation elevations with cross references are acceptable. • 16 Wall bracing (prescriptive path) and/or.lateral analysis plans. Must indicate details and locations; for non- ❑ ❑ ❑ prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor /roof framing. Provide plans for all floors /roof assemblies, indicating member sizing, spacing, and bearing ❑ ❑ ❑ locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ ❑ systems, see item 22, "Engineer's calculations." 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists ❑ ❑ ❑ over 10 feet long and/or any beam/joist carrying a non - uniform load. 20 of truss design details. ❑ ❑ ❑ 21 - Energy- C- ode-compliance. Identify the prescriptive path or provide calculations. A gas- piping schematic is required ❑ ❑ ❑ for four or more appliances. —22 Engineer's calculations. When required or provided, (i.e., shear wall, roof truss) shall be stamped by an engineer or ❑ ❑ ❑ architect licensed in Ore. on and shall be shown to be a I . licable to the . ro•ect under review. IURISDICTIONAL' SPECI I:ICS Five (5) site plans are required for Item 11 above. Site plans must be 8 -1/2" x 11" or 11" x 17 ". ❑ ❑ ❑ , 4 Two (2) sets each are required for Items 16, 19, 20 and 22 above. ❑ ❑ ❑ 25 Building plans shall not contain red lines or tape -ons. "Mirrored" building plans will not be accepted. ❑ ❑ ❑ 26 "Reversed" building plans must meet criteria outlined in the Permit & System Development Fees document. ❑ ❑ ❑ 27 "Drawn to scale" indicates standard architect or engineer scale. ❑ ❑ ❑ 28 e3tt plan i5include tree size, type and location per approved project street tree plan (if applicable), and City of Tigard ❑ ❑ ❑ Street -Tree List. 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations, driplines, ❑ ❑ ❑ L ( nd protection measures must be drawn to scale and accompanied by the project arborist's signature of approval. `` 30 Clean Water Services' Sensitive Area Pre- Screening Site Assessment form is required for all building additions, ❑ ❑ ❑ including decks, patio covers (over non - impervious surface) and accessory structures to existing residential dwellings on a lot of record approved prior to September 9, 1995. I:\ Building \Permils\BUP- RES- PermitApp.doc 03 /21/06 440.4613T(11/02/COM/WEB) Mechanical Permit Application FOR OFFICE l lsl: ONLY City of Ti and Received n `, g Date/By: Permit No.: ja1 & _ ,, ' . 0 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 Date/By: Other Permit: T I G A R D Inspection Line: 503.639 Date Ready/By: )uric: El See Page 2 for Internet: www.tigard - or.gov Notified/Method: Supplemental Information TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST Mechanical permit fees' are based on the value of the work ❑ New construction [ Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. CATEGORY OF CONSTRUCTION Value: $ RESIDENTIAL EQUIPMENT / SYSTEMS FEES* ! 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building For special information use checklist. ❑ Multi - family ❑ Master builder ❑ Other: Description Qty. I Ea. 1 Total JOB SITE INFORMATION AND LOCATION Heating/cooling Job site address: T jy Li,$ „ski 70 51 -re�'f Air conditioning or heat pump (requires site plan showing placement) 14.00 City /State /ZIP: TGA CIR. 7 7 21 3 Furnace 100,000 BTU (ducts/vents) 14.00 ����1 Furnace 100,000+ BTU (ducts /vents) 17.90 Suite/bldg. /apt. no.: Project name: limns; I ` Gas heat pump 14.00 Cross street/directions to job site: TA//0",4 re. C RR t / Duct work 10.00 Hydronic hot water system 14.00 Residential boiler (radiator or hydronic) 14.00 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 14.00 Subdivision: Lot no.: Flue /vent for any of above 6.80 Other: 10.00 Tax map /parcel no.: t_. Other fuel appliances DESCRIPTION OF WORK Water heater 10.00 r p Gas fireplace 10.00 �( 51Oh n t G 4 itOrez om J r 4 Ft O O R Flue vent for water heater or gas etTertc th e� fireplace 10.00 '^ � -`� M �O cc lighter (gas) 10.00 N1 v1(. 'Sock-VI 0.0 a closet Wood/pellet stove 10.00 Wood fireplace/insert 10.00 • Q PROPERTY OWNER ❑ TENANT Chimney /liner /flue /vent 10.00 _ � Q /� Other: 10.00 Name: A L 1 Ga 7a /Y) ASS i E Jae.. 1>l3)9 & ke I ` Environmental exhaust and ventilation Address: q y y $' SW ` N.1 S-I- -€ -- Range hood/other kitchen equipment 10.00 City /State /ZIP: T/ GA r2 o Og , 'Ti 223 Clothes dryer exhaust 10.00 Single -duct exhaust (bathrooms, Phone: (93) 4Sa — 1 •6,6 Fax: (S3 )0216— o 66 6 toilet compartments, utility rooms) t. 6.80 [/APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 10.00 Business name: Other: 10.00 �--�-� Fuel piping Contact name: Al 1 C t Q 10 ine e To Et.. Q AR ie,E-0,_ 85.40 for first four; 81.00 for each additional Address: et 445 70A sfree* Furnace, etc. Gas heat pump City/State /ZIP: l D OR. 1 Wall/suspended/unit heater Phone: (S ) L.153 _ i966 Fax: : ( ) Q96 _ 0G6 b Water heater 1 '� Fireplace E -mail: Af iCtt.�gatif.la ` a CO Range CONTRACTOR Barbecue Business name: V wA Clothes dryer (gas) Other: Address: MECHANICAL PERMIT FEES* City/State /ZIP: Subtotal Phone: ( ) F es: ( ) Minimum permit fee ($72.50) Plan review (25% of permit fee) CCB lic.: State surcharge (12% of permit fee) TOTAL PERMIT FEE Authorized signature: This permit application expires if a permit is not obtained within 190 -Throe", days after it has been accepted as complete. • f] Print name: II c IA Date: 6-./s4 Q g • Fee methodology set by Tri-County Building Industry Service Board I:\ Building \Permits\MEC•PermitApp.doc 01/19/07 440 - 4617T (11 /02/COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information • Commercial Fee Schedule: Total Valuation: Permit Fee: $1.00 to $2,000.00 Minimum fee $72.50 $2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2.30 for each additional $100.00 or fraction thereof, to and including $5,000.00. $5,001.00 to $10,000.00 $141.50 for the first $5,000.00 and $1.80 for each additional $100.00 or fraction thereof, to and including $10,000.00. $10,001.00 to $50,000.00 $231.50 for the first $10,000.00 and $1.35 for each additional $100.00 or • fraction thereof, to and including $50,000.00. $50,001.00 to $100,000.00 $771.50 for the first $50,000.00 and $1.25 for each additional $100.00 or fraction thereof, to and including $100,000.00. $100,000.01 and up $1,396.50 for the first $100,000.00 and $1.10 for each additional $100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. • I:\Building\Permits\MEC- PermitApp.doc 01/19/07 2 • • Plumbing Permit Application Building Fixtures R eceived /j _ _ , t City of Tigard 7 'q f( fl' . 31 Permit No.: III a 13125 SW Hall Blvd., Tigard, OR 97223 Da Re C Phone: 503.639.4171 Fax: 503.598.1960 Plan Review Date/By: Ocher Permit No.: T I G A K U Inspection Line: 503.639.4175 Date Ready/By: luris: ® See Page 2 for Internet: www.tigard - or.gov Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE ❑ New construction ❑ Demolition For special information use checklist Description 1 Qty. 1 Ea. 1 Total Q' Addition/alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection) CATEGORY OF CONSTRUCTION SFR (1) bath 249.20 E'1- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00 ❑ Accessory building ❑ Multi- family SFR (3) bath 399.00 ❑ Master builder ❑Other: Each additional bath/kitchen 45.00 Fire sprinkler ( sq. ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities Job site address: 9 '/' (S(,U - 704-1 1 S+ f - Catch basin or area drain 16.60 City /State /ZIP: 7q JJ a r a . V , q7 22 3 Drywell, leach line, or trench drain 16.60 Suite/bldg. /apt. no.: f Project name: �m r - tg/ K 2 Footing drain (no. linear ft.: _) Page 2 Manufactured home utilities 110.00 Cross street/directions to job site: I byL)l F".c Y Manholes 16.60 Rain drain connector 16.60 Sanitary sewer (no. linear ft.: ) Page 2 Storm sewer (no. linear ft.: ) Page 2 Subdivision: Lot no.: Water service (no. linear ft.: ) Page 2 Tax map /parcel no.: Fixture or item Absorption valve 16.60 DESCRIPTION OF WORK Backflow preventer Page 2 EX 4 t o n c5_ G reR4- Room on F1 r'-\ �i r Backwater valve 16.60 6X - }erl d►r Maser 8edroo m -T(') Clothes washer 16.60 M aS 6 t n n 1 C ' 5� 1 Dishwasher 16.60 a T Drinking fountain 16.60 ig PROPERTY OWNER ❑ TENANT Q n _ Ejectors /sump 16.60 Name: //1 I it i A p lh AS) .67.. gA RL< t 4 - Expansion tank 16.60 Address: WK ,S20 '70 f/1 5-h -ee. I- Fixture /sewer cap 16.60 City /State /ZIP: -776,qg D OR, 9 72'23 Floor drain/floor sink/hub 16.60 Phone: (Sc3) 4507 '-/ 96 6 Fax: (5a) 7 Z-s e -0666 Garbage disposal 16.60 E' APPLICANT ❑ CONTACT PERSON Hose bib 16.60 Ice maker 16.60 Business name: Interceptor /grease trap 16.60 Contact name: p tt•C (a. rnas t E ) €L Q ARK& 2 Medical gas (value: $ ) Page 2 Address..-i4145 C..! 70 51,ree.-{- Primer 16.60 City /State /ZIP: " r 2. 0 n P , - , Z7-3 Roof drain (commercial) 16.60 Phone: (543) Loa � ter bb Fax:: (503 ) 24b -- 6 Si • • in/lavatory 16.60 T /shower hower pan ` 16.60 E -mail: Al (wt. g / 'tact 1 on,eit si . Co C1'1 Urina 16.60 CONTRACTOR Water closet 16.60 Business name: /�� ,, / ,, f - f A ���► yl ,, Water heater 16.60 Address: Y FO G�" "v-� gr'U�Z. C.li�l4 7T(f'G Other: City /State /ZIP: 71s��e J� '.7 j Subtotal I , Minimum permit fee: $72.50 Phone: (5 ca " K& Q/'3/� p Fax: ( ) Residential backflow minimum permit fee: $36.25 CCB Lic.: /d.Yo23a:fr 1(2„y1 Plumbing Lic. no.: 2�- �( f � Plan review (25% of permit fee) ✓` /, ✓ State surcharge (12% of permit fee) Authorized signature: -7(! .G TOTAL PERMIT FEE Print name: N/;�Li /!J As ; Date: 6 0 g This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri -County Building Industry Service Board. 1:\Building\Permits\PLMF- PermitApp.doc 12/27/06 440.4616T(10/02 /COM/WEB) Plumbing Permit Application - City of Tigard • Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities Qty. Fee (ea) Total Square Footage: Permit Fee: Footing drain - IS' 100' 55.00 0 to 2,000 $115.00 Footing drain - each additional 100' 46.40 2,001 to 3,600 $160.00 3,601 to 7,200 $220.00 Sewer - 1st 100' 55.00 7,201 and greater $309.00 Sewer - each additional 100' 46.40 Water Service - 1st 100' 55.00 Medical Gas Systems: Water Service - each additional 100' 46.40 Valuation: Permit Fee: Storm &Rain Drain - 1st 100' 55.00 $1.00 to $5,000.00 Minimum fee $72.50 Storm & Rain Drain - each additional 100' 46.40 $5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and $1.52 for each Fixture or Item Qty. Fee (ea) Total additional $100.00 or fraction thereof, to and including $10,000.00. Commercial Back Flow Prevention Device 46.40 $10,001.00 to $25,000.00 $148.50 for the first $10,000.00 and $1.54 for Residential Backflow Prevention Device each additional $100.00 or fraction thereof, to (minimum permit fee $36.25) 2'7.55 and including $25,000.00. Rain Drain, single family dwelling 65.25 $25,001.00 to $50,000.00 $379.50 for the first $25,000.00 and $1.45 for Inspection of existing plumbing or each additional $100.00 or fraction thereof, to specially requested inspections - per hour 72.50 and including $50,000.00. Subtotal: $50,001.00 and up $742.00 for the first $50,000.00 and $1.20 for each additional $100.00 or fraction thereof. Fixture Work: Plan Review for Plumbing Installations Are you capping, adding or replacing fixtures? If "yes ", Plan review is required for any of the following. please indicate work performed by fixture. Failure to Please check all that apply. accurately report fixtures could result in increased sewer fees *. 12 Any new commercial building with water service 2" and Quantity by (Fixture) Work Performed greater, except systems designed and stamped by licensed Fixture Type: Replace engineer. Previous Capped Added Existing ❑ New exterior plumbing site utilities for any complex structure Baptistry/Font as defined in OAR918- 780 - 0040. Bath - Tub /Shower ❑ Medical gas and vacuum systems for health care facilities. - Jacuzzi/Whirlpool ❑ Any multipurpose fire sprinkler system. Car Wash - Each Stall ❑ Any complex structure as defined in OAR918- 780 -0040. -Drive Thru Cuspidor/Water Aspirator Submit 2 sets of plans with any of the above. Dishwasher - Commercial - Domestic Drinking Fountain Isometric or Riser Diagram Eye Wash ❑ Isometric or riser diagram is required for new buildings Floor Drain/sink - 2" that meet the qualifications above. -3 „ -4 Car Wash Drain Garbage • - Domestic Comments regarding fixture work: Disposal - Commercial - Industrial Ice Mach./Refrig. Drains -- Oil Separator (Gas Station) Rec. Vehicle Dump Station • Shower -Gang -Stall Sink - Bar/Lavatory - Bradley *Note: If the fixture work under this permit results in an - Commercial increase of sewer EDUs, a sewer permit will be issued and - Service fees assessed for the sewer increase must be paid before the Swimming Pool Filter plumbing permit can be issued. Washer - Clothes Water Extractor Water Closet - Toilet Urinal • Other Fixtures: is\ Building \Permits\PLM- PermitApp.doc 12/27/06 Electrical Per Applicatio FoR OFFICE USE O N L Y . City of Tigard Received 11 Permit No.: a ALLI r " • II a 13125 SW Hall Blvd., Tigard,OR 97223 Plan Review C Phone: 503.639.4171 Fax: 503.598.1960 Date/By: Other Permit: T I G A R D Inspection Line: 503.639.4175 Date Ready/By: Juris: ' H See Page 2 for Internet: www.tigard - or.gov Notified/Method: Supplemental Information TYPE OF WORK PLAN REVIEW ❑ New construction [ Addition/alteration/replacement Please check all that apply (submit 2 sets of plans w /items checked below): ❑ Service or feeder 400 amps or more ❑ Building over three stories. ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings. /' less to ground, or exceeds 14,000 ❑ Commercial -use agricultural 21 and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system. ❑Addition of new motor load of ❑ "A ", "E ", "1 -2 ", "1 -3 ", Job no.: Job site address: ?OS Stu Viii 5lr e'} 100HP or more. occupancy. ❑ Six or more residential units. ❑ Recreational vehicle parks. City/State /ZIP: ' 7 Ak D D A V2 z Z 3 0 Health -care facilities. ❑ Supply voltage for more than / ❑ Hazardous locations. 600 volts nominal. Suite/bldg. /apt no.: Project name: /U mA S — tn✓ ,9 g l t-E 2 ❑ Service or feeder 600 amps or more. . FEE SCHEDULE Cross street/directions to job site: T /JoteS FE/ ✓ Description 1 Qty. 1 Fee. 1 Total 1 ! New residential single- or multi - family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4 Ea. add'l 500 sq. ft. or portion 33.40 1 Tax map /parcel no.: A- Limited energy, residential 75.00 2 DESCRIPTION OF WORK (with above sq. ft.) 1 __ + , Limited energy, multi - family • 75.00 2 £)C4 bbl Ifl © c 2 � ec.,� (� fh Fi Cal ( i1 OCT E, EX 'l d t not residential (with above sq. ft.) ('` M(Q ' 654(0 Bev-1 P �� Services or feeders installation, alteration, and/or relocation } 0 S Dm 200 amps or less 80.30 2 [1 'PROPERTY OWNER I ❑ TENANT 201 amps to 400 amps 106.85 2 ) 7 401 amps to 600 amps 160.60 2 Name: / f" t_ j ' � � " � AS t J6 �� K l, � "' 601 amps to 1,000 amps 240.60 2 Address: 9.9415 <(.tJ 7 . tr-e.e_, '/- Over 1,000 amps or volts 454.65 2 City/State /ZIP: ► 1e,A /Z o 0e, 677ZZ 3 Temporary services or feeders installation, alteration, and/or relocation Phone: 6D3 ) q5,1 - / i( (o Fax: 63 ) 0 2ti.6 - 666.6 200 amps or less 66.85 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2 Branch circuits - new, alteration, or extension, per panel Owner signature: Date: A. Fee for branch circuits with APPLICANT 1 ❑ CONTACT PERSON above service or feeder fee, 6.65 2 each branch circuit Business name: r B. Fee for branch circuits � without service or feeder fee, G1 a ' 1 v fxS s i oa - $ A R 1 �E�- first branch!circuit 46.8 2 Contact name: 0. Address: 9Li M5 SW e �T Each add'l branch circuit 6.65 ,y 2 V Miscellaneous (service or feeder n t included) City/State /ZIP: 1lE7Q 0 OR R . Q-1 Z2 3 Each manufactured or modular 90.90 2 dwelling, service and/or feeder Phone: (503) aa_ I9 g Fax: : (SQ3) tit 6 - tJ6 6 b Reconnect only 66.85 2 E -mail: /laid a Ca(++-_ Al l ciA rn u5 i s C M Pump or irrigation circle 53.40 2 CONTRACTOR Sign or outline lighting 53.40 2 Business name: 0tOe c� Signal circuit(s) or limited - energy panel, alteration or Address: extension. Describe: Page 2 2 City/State /ZIP: Each additional inspection over allowable in any of the above Per inspection 62.50 Phone: ( ) Fax: ( ) Investigation per hour (1 hr min) 62.50 CCB Lic.: Electrical Lic.: Suprv. Lic.: Industrial plant per hour 73.75 _ ELECTRICAL PERMIT FEES Suprv. Electrician signature, required: Subtotal: (gyp -Yd Print name: Date: Plan review (25% of permit fee): State surcharge (12% of permit fee): g -(f� Authorized signature: TOTAL PERMIT FEE: 7t1., -' r -Thin/IS 6 / � , D i This permit application expires if a permit is not obtained wit m 180 Print name: f r C ( , Date days after it has been accepted as complete. • Number of inspections allowed per permit. I:\Building\Pennits\ELC- PermitApp.doc 05 /23/06 440.4615T(l1/05 /COM/WEB Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: RESIDENTIAL WORK ONLY: Fee for all residential systems combined ... $75.00 Check Type of Work Involved: ❑ Audio and Stereo Systems* ❑ Burglar Alarm ❑ Garage Door Opener* • ❑ Heating, Ventilation and Air Conditioning System* ❑ Vacuum Systems* ❑ Other: COMMERCIAL WORK ONLY: Fee for each commercial $75.00 system (SEE OAR 918- 309 -0000) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* p Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I: \ Building \Permits\ELC- PermitApp.doc 03/23/06 Information Notice to Property Owners About Construction Responsibilities Statement Oregon Law requires residential construction permit applicants who are not licensed with the Construction Contractors Board to sign the following statement before a building permit can be issued. [ORS 701.055 (4)] This statement is required for residential building, electrical, mechanical and plumbing permits. Licensed architect and engineer applicants, exempt from licensing under ORS 701.010(7), need not submit this statement. This statement will be filed with the permit. Please check the appropriate box and complete the following statement: 1 own, reside in, or will reside in the completed structure and my general contractor is: Name CCB# Expiration Date I will instruct my general contractor that all subcontractors who work on the structure must be licensed with the Construction Contractors Board. or I will be performing work on property 1 own, a residence that I reside in or a residence that I will reside in. If I hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors Board. If 1 change my mind and hire a general contractor, I will contract with a contractor who is licensed with the CCB and will immediately notify the office issuing this building permit of the name of the contractor. I have read and understand the Information Notice to Property Owners about Construction Responsibilities contained on these two pages and I hereby certify that the information checked and completed above is correct and accurate. /tic al form ! Print name of permit applicant Signatu e of permit applicant Date Permit #: /2S90C (-XJO This form is supplied to building Address: q/7/96----57"/ 7 2 5/ permit offices b the Oregon :�;: ��'�, ess: Construction Contractors Board, iri ,rr� y G►�1 de g7��-� as required by ORS 701.055 (6) ��' ' Issued by: Date: s0 This copy to issuing permit office • C]eanWaterr Services Our commitment ii clear. CWS File Number Sensitive Area Pre - Screening Site Assessment Jurisdiction: Property Information: _ ,t (example 1S234AB01400) Owner Info . e �� Taxlot ID(s): .1 :125 DA I �5 C C Name: / - A f 11441) ra a c,. ; V `fit >��� n gi(E>fiz. Company: )),, Address: ` i f q 5 ( — 77)..1-11 5-fret.t Site Address: f 1'y Lib w 70'1 ? � 116.4 ki L:/:: (17ZZ 3 776/1 /4 (7Fa 4 7722 3 Phone /Fax: - I(-] i -- (tiE Nearest Cross Street: 7 t y/1Cr FL -rry E -mail: Al 44.'4 411414 �i fl S, tin Development Activity: Check all that apply Applicant I T Addition to Single Family Residence (rooms, deck, garage) 0 Name: Ail I �I�?� J et 7IJ j �CIZ Lot Line Adjustment ❑ Minor. Land Partition Company: Residential Condominium ❑ Commercial Condominium ❑ Address: cf 4 5r ° 7c+1 1 rec-- Residential Subdivision ❑ Commercial Subdivision ❑ p -, � .3 �,. • X722 ❑ Single Lot Commercial ❑ Multi Lot Commercial Phone /Fax: _CC; -3 " 7 —f `164 -cat: Other E -mail: /]]lr.izi 4 AIic:u; JJmLS; . ecfn Will the project involve any off -site work: YES n NON Unknown 1 I Location and description of off -site work: Additional comments or information that may be needed to understand your project: This application does NOT replace the need for Grading and Erosion Control Permits, Connection Permits, Building Permits, Site Development Permits, DEQ 1200 -C Permit or other permits as issued by the Department of Environmental Quality, Department of State Lands and/or Department of the Army COE. All required permits and approvals must be obtained and completed under applicable local, state, and federal law. By signing this form, the Owner or Owners authorized agent or representative, acknowledges and agrees that employees of Clean Water Services have authority to enter the project site at all reasonable times for the purpose of inspecting project site conditions and gathering information related to the project site I certify that I am familiar with the information contained in this document, and to the best of my knowledge and belief, this information is true, complete, and accurate. Print/Type Name: Alt Lt 4 1 017111 ; Print/Type Title: Signature: Date: FOR DISTRICT USE ONLY • (1 Sensitive areas potentially exist on site or within 200' of the site. THE APPLICANT MUST PERFORM A SITE ASSESSMENT PRIOR TO ISSUANCE OF A SERVICE PROVIDER LETTER. If Sensitive Areas exist on the site or within 200 feet on adjacent properties, a Natural Resources Assessment Report may also be required. Based on review of the submitted materials and best available information Sensitive areas do not appear to exist on site or within 200' of the site. This Sensitive Area Pre - Screening Site Assessment does NOT eliminate the need to evaluate and protect water quality sensitive areas if they are subsequently discovered. This document will serve as your Service Provider letter as required by Resolution and Order 07 -20, Section 3.02.1. • All required permits and approvals must be obtained and completed under applicable local, State, and federal law. Based on review of the submitted materials and best available information the above referenced project will not significantly impact the existing or potentially sensitive area(s) found near the site. This Sensitive Area Pre - Screening Site Assessment does NOT eliminate the need to evaluate and protect additional water quality sensitive areas if they are subsequently discovered. This document will serve as your Service Provider letter as required by Resolution and Order 07 -20, Section 3.02.1. All required permits and approvals must be obtained and completed under applicable local, state, and federal law. This Service Provider Letter is not valid unless CWS approved site plan(s) are attached. ri The proposed activity does not meet the definition of development or the lot was platted after 9/9/95 ORS 92.040(2). NO SITE ASSESSMENT OR SERVICE PROVIDER LETTER IS REQUIRED. Reviewed By: Date: 2550 SW Hillsboro Highway • Hillsboro, Oregon 97123 Phone: (503) 681-5100 • Fax: (503) 681 -4439 • www cteanwaterservices org Revised: May 8. 2007 CITY OF TIGARD . BUILDING DIVISION PERMIT #: MS-POW-000M 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/21/2008 Phone: (503) 639 -4171 fuoii Inspection Requests (24 Hrs.): (503) 639 -4175 ` INSPECTION WORKSHEET FOR DATE: •12/4!2008 TIME: 7:GQAM PAGE: 4 SITE ADDRESS: 09446 SVV 70TH AVE CLASS OF WORK: SUBDIVISION: PP'1994 - QG1 LOT #: 002 TYPE OF USE: PROJECT NAME: TOMASI DESCRIPTION: 379 sq. ft. addition. OWNER: 1DMASI, ALICIA PHONE #: 503 - 452 -1966 CONTRACTOR: LINK & ASSOCIATES INC PHONE #: 503.297 -7993 Inspection Request Scheduled For: _ Date: 12/4/2008 Pour Time: Code # Inspection Description Confirm # Contact # Me - - • , P l°1/‘5. 299 Final inspection 078796 Q1 503-452-1966 Corrections /Comments/ Instructions: 4 1 i , / 1 \., PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES A ESSED �� V� ______i_i Inspector: 6civi � Date: Phone #: (503) 718 - r r CITY OF TIGARD r-^ BUILDING DIVISION . PERMIT #: MST 008 000 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/21/2000 Phone: (503) 639 -4171 , alt Inspection Requests (24 Hrs.): (503) 639 -4175 _�� 4 __.. INSPECTION WORKSHEET FOR DATE: 12/2/2008 TIME: 7:00AM PAGE: 3 SITE ADDRESS: Q9445 SW 70TH AVE CLASS OF WORK: SUBDIVISION: PP1994 - 061 LOT #: 002 TYPE OF USE: PROJECT NAME: TOMASI DESCRIPTION: 379 sq. ft. addition. OWNER: TOMASI, ALICIA PHONE #: 503.452.1966 CONTRACTOR: ZINK & ASSOCIATES INC.: PHONE #: 503 -292 -7993 Inspection Request Scheduled For: Date: 1202008 Pour Time: Code # Inspection Description 9a• • . # Contact # Message 199 Electrical final 078696 -03 503-452-1966 Y Corrections/Comments/Instructions: P 14 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: G-- 1V 06 Date: q. Z 1 Phone #: (503) 718- ilik__ CITY OF TIGARD - BUILDING DIVISION PERMIT #: MST2008 -00068 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 712112000 Phone: (503) 639 -4171 A f 'III Inspection Requests (24 Hrs.): (503) 639 -4175 :VIII' INSPECTION WORKSHEET FOR DATE: 9/29/2008 TIME 7:02AM PAGE: 13 SITE ADDRESS: 09445 SW 70TH AVE CLASS OF WORK: SUBDIVISION: PP1994-061 LOT #: 002 TYPE OF USE: PROJECT NAME: TOMASI DESCRIPTION: 379 sq. ft. addition. OWNER: TOMASI, ALICIA PHONE #: 503 -452 -1966 CONTRACTOR: ZINK & ASSOCIATES INC PHONE #: 503.292 -7993 Inspection Request Scheduled For: Date: 9/7W2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough -in 076053-01 503 -452 -1966 Y Pr ` Corrections /Comments/ Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ ❑ LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 1 Date: q A b Phone #: (503) 718 - , CITY OF TIGARD .-- BUILDING DIVISION PERMIT #: Msr20t }or►osa 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 712112008 Phone: (503) 639 -4171 a 4 � j r1\ Inspection Requests (24 Hrs.): (503) 639 -4175 ...' °'I INSPECTION WORKSHEET FOR DATE: 9/26/2008 TIME: 7:OOAM PAGE: 5 SITE ADDRESS: CLASS OF WORK: AVE SUBDIVISION: 03446 SW 70TH i LOT #: TYPE OF USE: PROJECT NAME: PP 1994 t161 002 OMASI DESCRIPTION: 379 sq. 11. addition. • OWNER: 1 ALICIA PHONE #: 503462 -1966 CONTRACTOR: ZINK & ASSOCIATES INC.: PHONE #: 503 -292-7953 Inspection Request Scheduled For: Date: 9/26/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough -in 075987 -01 503- 452 -1966 \ Y Correcti• Is /Comments /Instructions: P,i .1) ' -. \110,- 20 A NV , c,l' e,c..ci [' FbQ, K.L..., k r c L.5 a }kr n&, & p6T Cyr _ __ ,. i., ' 4 o sus ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS A FAIL 1 CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: N j 1.,E Date: Phone #: (503) 718- , -. 1 ' — , z . N' I( s 1111111111111111111 /41101,t -111111=1111111111 am ‘1 ! !-----=_ !NI iniwp.;%' limmunii Ell J 1... . 7 -------- . Ill lommunto ,Q JOG ...... .,:• ____:: ip 7 i ) - 0_ Ill 111 1 111 MT li \L I 6 TH IMMI AvE En 1 f Illa R\ imam A i----- l i t --1, 1 issi - gam% 6. '4 .-, 1 1 1 i ,::___,„ 1 __, 1 rolling. 1116*1 ..1 --] 1 II _II i 69T 3AV H169 AV E Z t 7 RAO ° 1 I U 0 z X • saw k _ 11 - z z. v- \ ; , .:,„ /\'(6 • p Iall " - I 1 , 0 701-- I \ di la UMW a / al. . Liinf 4 11111111111 "11.111 Wr MI rAl IMO „ I LTh I % .. mitri„,. 11- 1 i i ,_ . ,.., 41.,vm - ow , 1 , Nr. 1 1 , • 4to „ 11111111 1 IIIIimmii_ . / ma °vs' "i'm 6 .11 mil 1r 1 - , sims,---- Fir g _ 1 . , 1 co . ...Nr. 1 IT , — — NE ce - I..., , — g i / 1 1 I ___! - it' .___4 .. - f - A •• ar 31 ' lull IPMA.4. 1 71....... - WPM INI Illkif c 1 \ 77 -4- 1 -- - - 7,---- 1 1- 3Av ----j1 . . \ IN , , 11 (- P- _ 1 1 1 s/..,; I 1 . r.1. i 1 1 CITY OF TIGARD ,_ - BUILDING DIVISION PERMIT #: MST2008-00068 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/21/2008 Phone: (503) 639 -4171 , u' +l Inspection Requests (24 Hrs.): (503) 639 -4175 F 'I I.. INSPECTION WORKSHEET FOR DATE: 9/25/2008 TIME: 7:OtEAM PAGE 13 SITE ADDRESS: 0945 70TH AVE CLASS OF WORK: SUBDIVISION: PP1994-061 LOT #: 002 TYPE OF USE: PROJECT NAME: TOMASI DESCRIPTION: 379 sq. ft. addition. OWNER: TOMASI, ALICIA PHONE #: 503. 452 - 1966 CONTRACTOR: ZINK & ASSOCIATES INC PHONE #: 503 -292 -7993 Inspection Request Scheduled For: Date: 9/75/7008 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electiical rougli -in 075938 -02 503 - 452 -1966 Y r/? Corrections /Comments/ Instructions: f I f ��' iJ , 1 . "/Lti v/ . 1 ..:.:.'J f f OF A.A i ,4i. i 4 .l i I / G L r / / A.A. d ,L „I Air ! / I Q - _ v `1(9 k l � r .! I U c L C . //A & i," , , , A% / / . JO • • , /o 6dOek0 A k al .1-AillAti d ' ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS X FAIL X CALL FO INSPECTION ❑ ADDITIONAL FEES ASSESSED R o� Inspector: Date: P hone #: (503) 718- �� 8 P � ) CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2008 -00068 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 7/21/2006 Phone: (503) 639 -4171 000di J Inspection Requests (24 Hrs.): (503) 639 -4175 1: i INSPECTION WORKSHEET FOR DATE: 12/2/2008 TIME: 7:00AM PAGE: 4 SITE ADDRESS: 09445 SW 70TH AVE CLASS OF WORK: SUBDIVISION: PP1994 - 061 LOT #: 002 TYPE OF USE: PROJECT NAME: TOMASI DESCRIPTION: 379 sq. ft.. addition. OWNER: TOMASI, ALICIA PHONE #: 503 -452 -1966 CONTRACTOR: ZINK & ASSOCIATES INC PHONE #: 603 -292 -7993 Inspection Request Scheduled For: Date: 12/2/2008 Pour Time: ' Code # Inspection Description Confirm # Contact # Me ag V 399 Plumbing final 078696 -02 503-452 -1966 Y Corrections /Comments /Instructions: \414 WPW � n . q [PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Vi ix 4. 1 2v 0r Inspector: %� Date: Phone #: (503) 718- y 7/(1 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2008.00068 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7121/2008 Phone: (503) 639 -4171 A Inspection Requests (24 Hrs.): (503) 639 -4175 .�' `'f ,.. INSPECTION WORKSHEET FOR DATE: 9/24/2008 TIME: 7:00AM PAGE: 17 SITE ADDRESS: 08445 SW 70TH AVE CLASS OF WORK: SUBDIVISION: PP1994 -061 LOT #: 002 TYPE OF USE: • PROJECT NAME: TOMASI DESCRIPTION: 379 sq. ft. addition. OWNER: TOMASI, ALICIA PHONE #: 503 -462 -1966 CONTRACTOR: ZINK & ASSOCIATES INC PHONE #: 503.292 -7993 Inspection Request Scheduled For: Date: 9/24/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 322 Shower pan 075855 -02 503-452-1966 N Corrections /Comments /Instructions: IXI PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: \a Date: 1 I9.`\ toT Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2008 00068 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/21/2000 Phone: (503) 639 4171 Inspection Requests (24 Hrs.): (503) 639 -4175 ` 'I I .. INSPECTION WORKSHEET FOR DATE: 9/24/2000 TIME: 7:00AM PAGE: 18 SITE ADDRESS: 09445 SW 70TH AVE CLASS OF WORK: SUBDIVISION: faP1994 UE1 LOT #: 002 TYPE OF USE: PROJECT NAME: TOMASI DESCRIPTION: 379 sq. ft, addition. OWNER: TOMASI ALICIA PHONE #: 503- 452 -1966 CONTRACTOR: ZINK & ASSOCIATES INC PHONE #: 503„292 -7393 Inspection Request Scheduled For: Date: 9/24/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in 075855-01 503-452-1966 N Corrections /Comments /Instructions: X PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: criAvMJ1 I \%iw,e Date: 0 I2 1 77) Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #1 8 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 Ate l e Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: T � ) 2, o$ TIME: PAGE: SITE ADDRESS: _! 1 95cW ' YU CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Description Confirm # Contact # Message 3)o R atin,,��a C V'Owv 1 .0 Corrections /Comments /Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: VY `,I\1 ■A--.... Date: qi \ 3 t t Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MS12000- 0006th 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 7/21/2008; Phone: (503) 639 -4171 / v+ ➢ Inspection Requests (24 Hrs.): (503) 639 -4175 "'I I. INSPECTION WORKSHEET FOR DATE: 12/2/2008 TIME: 7:00AM PAGE: 5 SITE ADDRESS: 09445 SW 70TH AVE CLASS OF WORK: SUBDIVISION: PP19g4 -061 LOT #: 002 TYPE OF USE: PROJECT NAME: TOMASI DESCRIPTION: 379 sq. ft. addition. OWNER: TOMASI, ALICIA PHONE #: 503.452 -1966 CONTRACTOR: ZINK & ASSOCIATES INC PHONE #: 503 - 292.7993 Inspection Request Scheduled For: Date: 12/2/2008 Pour Time: Code # Inspection Description Confirm # Contact # Me a \I\N' 699 Mechanical final 078696-01 503-452-1966 Y Corrections /Comments /Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 17 /V 6 Phone #: (503) 718 - 74 z.q CITY OF TIGARD BUILDING DIVISION PERMIT #: 1V1S72008 0006$ 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 7/21/2008 Phone: (503) 639 -4171 yr rtil Inspection Requests (24 Hrs.): (503) 639 -4175 .„..„ INSPECTION WORKSHEET FOR DATE: 10/7/2008 TIME: 7:00AM PAGE: 12 SITE ADDRESS: 03445 SW 70TH AVE CLASS OF WORK: SUBDIVISION: PP1994 - 061 LOT #: 002 TYPE OF USE: PROJECT NAME: TOMASI DESCRIPTION: 379 sq. ft. addition. OWNER: TOMASI, ALICIA PHONE # 503.452 -1966 CONTRACTOR: ZINK & ASSOCIATES INC PHONE #: 503292 -7993 • Inspection Request Scheduled For: Date: 10/7/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 280 Insulation 076388 -02 503-452 -1966 Y Corrections /Comments/ Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL •j CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED 4 Inspector: . Date: /d -7 - Phone #: (503) 718 - 2,� CITY OF TIGARD BUILDING DIVISION PERMIT #: MST 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: /21/ 000 7 Phone: (503) 639- 4171u�n'�I,I 7/21/ 2008 Inspection Requests (24 Hrs.): (503) 639 -4175 s' �:_.. INSPECTION WORKSHEET FOR DATE: 10/7/2008 TIME: 7:QOAM PAGE: 13 SITE ADDRESS: 09445 S1AI70TH AVE CLASS OF WORK: SUBDIVISION: PP1994 LOT #: 002 TYPE OF USE: PROJECT NAME: TOMASI DESCRIPTION: 379 sq. ft. addition. OWNER: TOMASI, ALICIA PHONE #: 503-452 -1966 CONTRACTOR: LINK & ASSOCIATES INC PHONE #: 503 -292 -7993 Inspection Request Scheduled For: Date: 10/7/7008 Pour Time: Code # Inspection Description Confirm # Contact # Message 230 Underfloor insulation 076388 -01 503-452-1966 Y Corrections /Comments /Instructions: ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL A CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: ill -7 -GPI Phone #: (503) 718- .fi4Zr- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2008- 00168 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/21/20013 Phone: (503) 639- 4171 �p Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 1Q/1/z008 TIME: 7:O�AM PAGE 8 SITE ADDRESS: 08445 SW 70TH AVE CLASS OF WORK: SUBDIVISION: f'F'1994 O6'1 LOT #: 002 TYPE OF USE: PROJECT NAME: TOMASI DESCRIPTION: 379 sq ft. addition. OWNER: IOMASI, ALICIA PHONE #: 503-452-19(36 CONTRACTOR: ZINK & ASSOCIATES INC PHONE #: 603-292-7993 Inspection Request Scheduled For: Date: 10/1/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 076161 -02 603- 452 -1966 Y Corrections /Comments /Instructions: • PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: / I--'O `b Phone #: (503) 718- CITY OF TIGARD - BUILDING DIVISION PERMIT #: MST2008 OG068 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 7121/2000 Phone: (503) 639 -4171 47 44 1 Inspection Requests (24 Hrs.): (503) 639 -4175 Al. INSPECTION WORKSHEET FOR DATE: 10/1/2008 TIME: 7:02AM PAGE: 9 SITE ADDRESS: 09445 SW 70TH AVE CLASS OF WORK: SUBDIVISION: PP1994 -061 LOT #: 002 TYPE OF USE: PROJECT NAME: TOMASI DESCRIPTION: 379 sq. ft. addition. OWNER: TOMASI, ALICIA PHONE #: 503452 -1966 CONTRACTOR: ZINK & ASSOCIATES INC PHONE #: 503.292 -7993 Inspection Request Scheduled For: Date: 10/1/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 2�5 Post/beam structural 076161 -01 503 -452 -1966 Y Corrections /Comments /Instructions: • IIVA PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: /0 0 Phone #: (503) 718- CITY OF TIGARD " r BUILDING DIVISION PERMIT #: IA ST2008 -00068 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/21/20013 Phone: (503) 639 -4171 ugp �iI Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 9/30/2008 TIME 7 :UUAM PAGE 2 SITE ADDRESS: 09445 SW 70TH AVE CLASS OF WORK: SUBDIVISION: PP1994 - 061 LOT #: 002 TYPE OF USE: PROJECT NAME: TOMASI DESCRIPTION: 379 sq. ft. addition. OWNER: TOMASI ALICIA PHONE #: 503 -452 -1966 CONTRACTOR: ZINK & ASSOCIATES INC PHONE # : 503-292 -7993 Inspection Request Scheduled For: Date: 9/30P008 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 076110.01 503452 -1966 Y Corrections/Comments/Instructions: f) IQ z7 ' v6 v'i 60 sue° ei, �2Gii . .cam // / ' V . G�l0 4 --.l" : / .,, 1 0 r- teovI ,f7 - EXiii9vs ,—• ,v vPs4C 4 . 160 a�ZL f-SA �� /1571v4 f/v ce m, ,.-e- ' /0 _, ,..s:-..,5- ..s: ^'s " --7 - v A ' - ,, _; ❑ PASS '❑ PARTIAL APPROVAL 111 CANCEL ❑ NO ACCESS IL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 9-3G d 8 Phone #: (503) 718 - 'Z CITY OF TIGARD BUILDING DIVISION PERMIT #: MST 2008 00 68 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/21/2110t3 Phone: (503) 639 -4171 � ..w11 11 Inspection Requests (24 Hrs.): (503) 639 -4175 Ail INSPECTION WORKSHEET FOR DATE: 9/16/2008 TIME: 7:01AM PAGE: 3 SITE ADDRESS: 09445 SW 70TH AVE CLASS OF WORK: SUBDIVISION: PP1994 - 0S1 LOT #: 002 TYPE OF USE: PROJECT NAME: TOMASI DESCRIPTION: 379 sq. ft. addition. OWNER: TOMASI, ALICIA PHONE #: 503.452 -1966 CONTRACTOR: ZINK & ASSOCIATES INC PHONE #: 503292-7993 Inspection Request Scheduled For: Date: 9/16/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 235 ,hoar walls/anchors 075520 -01 503 - 351.7803 N Corrections /Comments /Instructions: ‘1,12_,_ ❑ ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ` FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED A Inspector: Date: 9"--/6i -ea Phone #: (503) 718 - � CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2oot� noose 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 7121/2008 Phone: (503) 639 -4171 410 'I Inspection Requests (24 Hrs.): (503) 639 -4175 .� °:_.. INSPECTION WORKSHEET FOR DATE: 8/11/2008 TIME: 7 :0'IAM PAGE: 12 SITE ADDRESS: 09445 SW 70TH AVE CLASS OF WORK: SUBDIVISION: PP1994-061 LOT #• 002 TYPE OF USE: PROJECT NAME: TOMASI DESCRIPTION: 379 sq. ft. addition. OWNER: TOMASI, ALICIA PHONE #: 503- 452 -1966 CONTRACTOR: ZINK & ASSOCIATES INC PHONE #: 503-292-7993 Inspection Request Scheduled For: Date: 8/11/2006 Pour Time: 1 :00 Code # Inspection Description Confirm # Contact # Message 205 Footing 074018-01 503. 452 -1966 N /a Fi-O.. Corrections /Comments/ Instructions: :b ,„,- , - �'„ _ .rte d L:ll.414/ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Ay Date: / /-08- Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2008 -00068 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/21/2008 Phone: (503) 639 -4171 A �� Inspection Requests (24 Hrs.): (503) 639 -4175 "- I.. INSPECTION WORKSHEET FOR DATE: 6/8/2008 TIME: 7:00AM PAGE: 10 SITE ADDRESS: 09145 SW 70TH AVE CLASS OF WORK: SUBDIVISION: PP1994 - O61 LOT #: 002 TYPE OF USE: PROJECT NAME: TOMASI DESCRIPTION: 379 sq. ft. addition. OWNER: TOMASI, ALICIA PHONE #: 5 345;?_1966 CONTRACTOR: ZINK & ASSOCIATES INC PHONE #: 503 292-7993 Inspection Request Scheduled For: Date 8/8/2008 Pour Time: 1:00 Code # Inspection Description Confirm # Contact # Message 205 Footing 073969.01 971 - 506-3467 N Corrections /Comments/ Instructions: "G < /2o V , a- 6 6 4 - t' r°) �.9-.u- S O.‘to x lam' ❑ PA ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 0— 8 - G 5 Phone #: (503) 718- 2- CITY OF TIGARD BUILDING DIVISION PERMIT #: 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: W21 /2 08 Phone: (503) 639- 4171 7121/20GE1 Inspection Requests (24 Hrs.): (503) 639 -4175 ' `'I I.. INSPECTION WORKSHEET FOR DATE: 9/25/2008 TIME: 7:00AM PAGE: 12 SITE ADDRESS: CLASS OF WORK: PP1994 0 61 002 SUBDIVISION: 09445 `- 70TH AVE LOT #: TYPE OF USE: PROJECT NAME: TOMASI DESCRIPTION: 379 sq. ft. addition. OWNER: TOMASI, ALICIA PHONE #: 503-452-1966 CONTRACTOR: ZINK & ASSOCIATES INC PHONE #: 503- 2917993 Inspection Request Scheduled For: Date P our Time: 9/25/a00s M Code # Inspection Description Confirm # Contact # Message Q 615 Mechanical rough -in 07593E -03 503.452 -1966 Y Corrections /Comments /Instructions: • PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ZS Date: a Pi 2C er0 8 Phone #: (503) 718- 292.3 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2008 -00068 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/21/2000 Phone: (503) 639 -4171Vtillis Inspec tion Requests (24 Hrs.): (503) 639 -4175 :— INSPECTION WORKSHEET FOR DATE: 9/17/2008 TIME: 7:00AM PAGE: 23 SITE ADDRESS: 09445 SW 70TH AVE CLASS OF WORK: SUBDIVISION: PP1994 061 LOT #: 002 TYPE OF USE: PROJECT NAME: 1 OMASI DESCRIPTION: 379 sq. ft. addition. OWNER: TOMASI, ALICIA PHONE #: 503 - 452 - 1966 CONTRACTOR: ZINK & ASSOCIATES INC PHONE #: 603-292-7993 Inspection Request Scheduled For: Date: 9/17/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 240 Exterior sheathing 075555 -01 503 -361 -7803 N Corrections /Comments/ Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: FS Date: /7 Phone #: (503) 718- .?(/.2 3 CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2008-00068 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/21/2008 Phone: (503) 639 -4171 ;alit Inspection Requests (24 Hrs.): (503) 639 -4175 .. INSPECTION WORKSHEET FOR DATE: 9/17 /2008 TIME: 7:OOAM PAGE: 20 SITE ADDRESS: 09445 SW 70TH AVE CLASS OF WORK: SUBDIVISION: PP1994 -061 LOT #: 002 TYPE OF USE: PROJECT NAME: TOMASI DESCRIPTION: 379 sq. ft. addition. OWNER: TOMASI, ALICIA PHONE #: 503 CONTRACTOR: ZINK & ASSOCIATES INC PHONE #: 503.292 -7993 Inspection Request Scheduled For: Date: 9/17/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message A Aft 235 tF Shear walls/anchors 075555 -02 503.351 -7803 Y Corrections /Comments /Instructions: Sew �c�i r+ -U (`3) .14,A Recut y PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL El CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: / 3 -s Date: /75/00 Phone #: (503) 71 2 (4a3